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<title>费用管理</title>
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<body>
<table width="700" class="noborder">
	<tr>
	<td align="left" ><div style="font-family:Arial;font-size:15px;font-weight:bold;font-style:normal">当前位置：校园诊所--费用管理</div> </td>
	</tr>
</table>
<form action="">
    <table width="700" class="noborder">
	     <tr>
		     <td align="left" valign="middle"> 工/学号：<s:textfield name="studentID" size="20" theme="simple"></s:textfield></td>
		     <td align="right" valign="middle">费用类型：<s:select cssStyle="width:100px" theme="simple"  name="type" list="{'挂号费用','门急诊费用','检查费用','药品费用'}"/></td>
	    	 <td align="right" valign="middle">支付方式：<s:select cssStyle="width:100px" theme="simple"  name="payment" list="{'现金','刷卡'}"/></td>
	    </tr>
	     <tr>
		     <td align="left"  valign="middle">费&nbsp;&nbsp;&nbsp;&nbsp;用：<s:textfield id="d1" name="total" size="20" theme="simple"/></td>
		     <td align="right" colspan="2"  valign="middle"><s:submit type="button" theme="simple">&nbsp;&nbsp;查&nbsp;询&nbsp;&nbsp;</s:submit>&nbsp;&nbsp;&nbsp;&nbsp; <s:submit type="button" theme="simple">&nbsp;确认收取&nbsp;</s:submit> </td>
	    </tr>
    </table>
   <br />
    <div id="content">
		<table width="700" border="1" id="customers">
			<tr>
				<th>序号</th>
				<th>一级项目</th>
				<th>二级项目</th>
				<th>单价</th>
				<th>支付标示</th>
			</tr>
			<tr>
				<td>1</td>
				<td>药品费用</td>
				<td>盘林西林</td>
				<td>80</td>
				<td>否</td>
			</tr>
			<tr class="alt">
				<td>2</td>
				<td>药品费用</td>
				<td>板蓝根</td>
				<td>5</td>
				<td>否</td>
			</tr>
			<tr>
				<td>3</td>
				<td>药品费用</td>
				<td>板蓝根</td>
				<td>5</td>
				<td>否</td>
			</tr>
			<tr class="alt">
				<td>4</td>
				<td>药品费用</td>
				<td>板蓝根</td>
				<td>5</td>
				<td>否</td>
			</tr>
		</table>
	</div>
	<p></p>
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		    <td colspan="2"  align="right" >第1页, 共30页
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</form>
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